A Double-Wire Technique for Transjugular Intrahepatic Portosystemic Shunt Through a Transabdominal-Transjugular Portosystemic Approach

Simon C.H. Yu

Abstract

OBJECTIVE: The purpose of this article is to describe a double-wire technique for transjugular intrahepatic portosystemic shunt (TIPS) procedures in which a transabdominal-transjugular portosystemic route is created that allows placement of a safety wire and a working wire. The safety wire provides a backup for the loss of the portosystemic tract and straightens the transjugular portosystemic route through a two-hand technique to facilitate shunt creation. CONCLUSION: Potential advantages of this technique include a precise and expeditious procedure for pediatric patients and those with small and hard liver or with focal lesions.

Abstract: http://www.ajronline.org/content/197/1/W181.abstract